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LINCOLN LUTHERAN OF RACINE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
LINCOLN LUTHERAN OF RACINE INC (EIN 39-0874802)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-08
IRS object ID
201623139349302297
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-08T16:45:48-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1Txt
CityMIDDLETONCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53562ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN390874802EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LINCOLN LUTHERAN OF RACINE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLINCBusinessNameControlTxt
Phone2626330500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 081280AddressLine1Txt
CityRACINECityNm
State AbbreviationWIStateAbbreviationCd
ZIP534081280ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE POLSKY RECEIVERPersonNm
Person TitleRECEIVERPersonTitleTxt
Phone2626330500PhoneNum
Signature2016-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY ANDERSON CPAPreparerPersonNm
PTINP00188889PTIN
Phone6086628600PhoneNum
Preparation2016-11-07PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE POLSKYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 081280AddressLine1Txt
CityRACINECityNm
State AbbreviationWIStateAbbreviationCd
ZIP534081280ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,454,063GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LINCOLNLUTHERAN.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionLINCOLN LUTHERAN OF RACINE CONSISTS OF A SKILLED NURSING FACILITY WHICH HAS 120 BEDS. IT ALSO CONSISTS OF COMMUNITY SERVICE PROGRAMS WHICH ARE ADULT DAY SERVICES, HOMELINC, AND HARMONY CLUB.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body0VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee218TotalEmployeeCnt
Total Volunteers500TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$359,476PYContributionsGrantsAmt
CY Contributions Grants$381,945CYContributionsGrantsAmt
PY Program Service Revenue$8,872,885PYProgramServiceRevenueAmt
CY Program Service Revenue$2,081,067CYProgramServiceRevenueAmt
PY Investment Income$163,999PYInvestmentIncomeAmt
CY Investment Income-$1,282,571CYInvestmentIncomeAmt
PY Other Revenue$2,037,625PYOtherRevenueAmt
CY Other Revenue$1,299,561CYOtherRevenueAmt
PY Total Revenue$11,433,985PYTotalRevenueAmt
CY Total Revenue$2,480,002CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,759,368PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,305,379CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,081CYTotalFundraisingExpenseAmt
PY Other Expenses$6,500,752PYOtherExpensesAmt
CY Other Expenses$3,334,438CYOtherExpensesAmt
PY Total Expenses$13,260,120PYTotalExpensesAmt
CY Total Expenses$4,639,817CYTotalExpensesAmt
PY Revenues Less Expenses-$1,826,135PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,159,815CYRevenuesLessExpensesAmt
Total Assets BOY$13,755,419TotalAssetsBOYAmt
Total Assets EOY$5,530,339TotalAssetsEOYAmt
Total Liabilities BOY$11,499,346TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,435,945TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,256,073NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,394NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionLINCOLN LUTHERAN OF RACINE CONSISTS OF A SKILLED NURSING FACILITY WHICH HAS 120 BEDS. IT ALSO HAS COMMUNITY SERVICE PROGRAMS WHICH INCLUDE ADULT DAY SERVICE PROGRAMS, HARMONY CLUB, AND HOMELINC.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$1,448,671ExpenseAmt
Revenue$1,413,957RevenueAmt
DescLINCOLN VILLAGE IS A SKILLED NURSING FACILITY THAT SPECIALIZES IN SHORT TERM REHABILITATION. IT IS A CERTIFIED MEDICARE AND MEDICAID FACILITY. IT OFFERS A COMPREHENSIVE REHABILITATION PROGRAM TO MAXIMIZE YOUR FUNCTIONAL ABILITIES AND QUALITY OF LIFE. WE PROVIDE A THERAPY TEAM THAT CONSISTS OF OCCUPATIONAL, PHYSICAL, AND SPEECH THERAPISTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$434,127ExpenseAmt
Revenue$344,904RevenueAmt
DescLINCOLN VILLAS REDEVELOPMENT IS A DISREGARDED ENTITY OF LINCOLN LUTHERAN OF RACINE WHICH WAS PURCHASED IN 2010. THIS IS A 99 UNIT LOW INCOME HOUSING PROJECT. THE PROJECT IS REGULATED BY THE US DEPARTMENT OF HOUSING AND URBAN DEVELOPMENTDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$110,814ExpenseAmt
Revenue$248,014RevenueAmt
DescLINCOLN LUTHERAN OFFERS COMMUNITY SERVICES FOR THE ELDERLY AND HANDICAPPED. THIS INCLUDES AN ADULT DAY SERVICES PROGRAM IN RACINE AND WESTERN RACINE COUNTY. IT ALSO PROVIDES IN HOME NON NURSING CARE THROUGH THE HOMELINC PROGRAM AND HARMONY CLUB WHICH IS A SOCIAL DAY PROGRAM. IT IS A PROVIDER OF MEALS THROUGH IT'S MEALS ON WHEELS AND NUTRITION SITE PROGRAMS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$1,373,753RevenueAmt
DescMOW, NUTRITION, AND HOME OFFICE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$1,373,753TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,993,612TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document30IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee218EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members0GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BECK CHAET BAMBERGER & POLSKY SCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4142734200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1TWO PLAZA EAST SUITE 1085 330 EAddressLine1Txt
CityMILWAUKEECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53202ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp

FieldValueIRS element (for citing)
PersonMICHELLE PUTZPersonNm
TitleADMINISTRATORTitleTxt
Average Hours Per Week40.00AverageHoursPerWeekRt
Highest Compensated EmployeeYes (X)HighestCompensatedEmployeeInd
Reportable Comp From Org$118,243ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Total Reportable Comp From Org$118,243TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RALLY CAPITAL SERVICE
350 N LASALLE STCHICAGOIL60654FINANCIAL CONSULTANT FOR RECEIVER$495,252
BECK CHAET BAMBERGER AND POLSKY
2 PLAZA E SUITE 1085MILWAUKEEWI53202COURT APPOINTED RECEIVER$384,084
REHAB CARE GROUP
SRS DIVISIONST LOUISMO631503534REHABILITATION SERVICES FOR NURSING HOME$146,631
A'VIANDS FOOD & SERVICE MANAGEMENT
1751 COUNTY RD B WESTROSEVILLEMN55113FOOD AND MANAGEMENT SERVICE FOR NURSING$107,059
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Government Grants$235,369GovernmentGrantsAmt
All Other Contributions$146,576AllOtherContributionsAmt
Total Contributions$381,945TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LINCOLN VILLAGE623000$1,413,957$1,413,957
LINCOLN VILLAS REDEVELOPMENT531110$344,904$344,904
COMMUNITY SERVICE624100$248,014$248,014

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,192TotalRevenueColumnAmt
Related Or Exempt Func Income$74,192RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,081,067TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,518TotalRevenueColumnAmt
Exclusion$126,518ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$72,264RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$72,264RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,264TotalRevenueColumnAmt
Related Or Exempt Func Income$72,264RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,564,972OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$6,974,061OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,409,089OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,409,089TotalRevenueColumnAmt
Exclusion-$1,409,089ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE BILLING ERROR900099$621,184$621,184
MANAGEMENT FEES561000$341,253$341,253
TENANT REVENUE812900$136,860$136,860

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,000TotalRevenueColumnAmt
Related Or Exempt Func Income$128,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,227,297OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,480,002TotalRevenueColumnAmt
Related Or Exempt Func Income$3,380,628RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,282,571ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$111,652TotalAmt
Management And General$111,652ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$852,134TotalAmt
Program Services$722,949ProgramServicesAmt
Management And General$128,571ManagementAndGeneralAmt
Fundraising$614FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,448TotalAmt
Management And General$9,448ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$178,152TotalAmt
Program Services$164,739ProgramServicesAmt
Management And General$13,397ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$153,993TotalAmt
Program Services$117,266ProgramServicesAmt
Management And General$36,345ManagementAndGeneralAmt
Fundraising$382FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$211,525TotalAmt
Management And General$211,525ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,132TotalAmt
Management And General$5,132ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,590TotalAmt
Program Services$9,690ProgramServicesAmt
Management And General$18,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,350,872TotalAmt
Program Services$105,497ProgramServicesAmt
Management And General$1,245,375ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$400TotalAmt
Program Services$390ProgramServicesAmt
Management And General$10ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$129,544TotalAmt
Program Services$45,607ProgramServicesAmt
Management And General$83,868ManagementAndGeneralAmt
Fundraising$69FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$70,875TotalAmt
Program Services$15,207ProgramServicesAmt
Management And General$55,668ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$239,198TotalAmt
Program Services$157,585ProgramServicesAmt
Management And General$81,613ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,016TotalAmt
Management And General$5,016ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,750TotalAmt
Management And General$2,750ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$144,052TotalAmt
Program Services$143,907ProgramServicesAmt
Management And General$145ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$154,524TotalAmt
Program Services$77,449ProgramServicesAmt
Management And General$77,075ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$72,981TotalAmt
Program Services$62,869ProgramServicesAmt
Management And General$10,112ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$466,072$564$465,508
DIETARY$120,309$120,309
IMPAIRMENT/WI PROVIDER/$60,279$57,668$2,611
THERAPY (OT,PT,ST)/SUPP$53,287$53,287

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$219,032TotalAmt
Program Services$138,629ProgramServicesAmt
Management And General$80,403ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,639,817TotalAmt
Program Services$1,993,612ProgramServicesAmt
Management And General$2,645,124ManagementAndGeneralAmt
Fundraising$1,081FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$665,295BOYAmt
EOY$184,780EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$813,429BOYAmt
EOY$852,080EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$411,691BOYAmt
EOY$20,798EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,185,714BOYAmt
EOY$833,678EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$38,925BOYAmt
EOY$1,131EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$159,539BOYAmt
EOY$25,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,649,660LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,080,670LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,842,243BOYAmt
EOY$3,568,990EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,638,583BOYAmt
EOY$42,894EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,755,419BOYAmt
EOY$5,530,339EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,687,538BOYAmt
EOY$2,306,075EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$101,040BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,745,062BOYAmt
EOY$3,085,833EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$965,706BOYAmt
EOY$44,037EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,499,346BOYAmt
EOY$5,435,945EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,256,073BOYAmt
EOY$94,394EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,256,073BOYAmt
EOY$94,394EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,755,419BOYAmt
EOY$5,530,339EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,159,815ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,864OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$452,520OtherCostOrOtherBasisAmt
Book Value$452,520BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,572,728OtherCostOrOtherBasisAmt
Depreciation$1,706,667DepreciationAmt
Book Value$2,866,061BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$215,626OtherCostOrOtherBasisAmt
Depreciation$66,519DepreciationAmt
Book Value$149,107BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,408,786OtherCostOrOtherBasisAmt
Depreciation$1,307,484DepreciationAmt
Book Value$101,302BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,568,990TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
RESIDENTIAL CUSTODIAL ACCOUNTS$11,263
SECURITY DEPOSITS$29,932
LVR EQUIPMENT FINANCING$2,817
OTHER$25
FieldValueIRS element (for citing)
Total Liability$44,037TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (4 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxtEINEIN
THE VILLA AT LINCOLN PARK REALTY LLC
LINCOLN VILLAGE, NURSING HOME, AND INTEREST IN SIENA ON THE LAKE, RETIREMENT COMMUNITY.2015-03-31$2,850,000SALE PRICE3821 SPRING STREETRACINEWI53405LLC
MARQUARDT
MANAGEMENT CONTRACTS IN REGARDS TO BECKER SHOOP, LINCOLN VILLAS NORTH, TRINITY TERRACE, AND ATRIUM/BAY POINTE.2015-04-01$95,309SALE PRICE1020 HILL STREETWATERTOWNWI530983099501(C)(3)391704732
MT PLEASANT CHURCH
VACANT LAND2015-11-30$340,000SALE PRICE1700 S GREEN BAY RDRACINEWI53406501(C)(3)396023798
NAHF LINCOLN MANOR GP INC
MEMBERSHIP INTEREST IN LINCOLN MANOR2015-10-30$275,000SALE PRICE515 S CAPITAL OF TEXAS HWY SWESTLAKE HILLSTX78746CORPORATION473939262
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor20EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation20ReceiveCompensation2Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3SALE OF ASSETS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION IS CURRENTLY IN RECEIVERSHIP, SO THERE IS NO GOVERNING BOARD. THE APPOINTED RECEIVER WILL REVIEW THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION PERFORMS A REVIEW TO ENSURE COMPLIANCE
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAS A COMPENSATION COMMITTEE, WHICH IS PART OF THE BOARD OF DIRECTORS. SALARIES ARE DETERMINED BY PERFORMANCE APPRAISALS AND MARKET DATA FROM ASSOCIATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS THIS INFORMATION AVAILABLE UPON REQUEST
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 105,497. MANAGEMENT AND GENERAL EXPENSES 1,245,375. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,350,872.
FORM 990, PART XI, LINE 9:ADJUSTMENT FOR PRIOR PERIOD UNREALIZED GAIN FOR INVESTMENTS SOLD IN CY. -1,864.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1LINCOLN VILLAS REDEVELOPMENT LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 DOMANIK DRAddressLine1Txt
CityRACINECityNm
State AbbreviationWIStateAbbreviationCd
ZIP53404ZIPCd
FieldValueIRS element (for citing)
EIN383781716EIN
Primary ActivitiesDEVELOPMENT COMPANYPrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd
Total Income$581,815TotalIncomeAmt
End Of Year Assets$4,504,224EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1LINCOLN LUTHERAN OF RACINEBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
LINCOLN LUTHERAN COMMUNITY CARE
2000 DOMANIK DRRACINEWI53404391674718NURSING HOMEWI501(C)(3)LINE 9LINCOLN LUTHERAN OF RACINEYes (1)
LINCOLN LUTHERAN CHARITABLE TRUST
2000 DOMANIK DRRACINEWI53404391316328INVESTMENTS FOR LINCOLN LUTHERANWI501(C)(3)LINE 9LINCOLN LUTHERAN OF RACINEYes (1)
ATRIUM OF RACINE INC
2000 DOMANIK DRRACINEWI53404391615970INDEPENDENT HOUSING/ASSISTED LIVINGWI501(C)(3)LINE 9LINCOLN LUTHERAN OF RACINEYes (1)
SIENA OF THE LAKE
2000 DOMANIK DRRACINEWI53404452814682SENIOR SERVICESWI501(C)(3)LINE 9LINCOLN LUTHERAN OF RACINEYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndEINEINOwnershipOwnershipPct
LINCOLN MANOR REDEVELOPMENT LLC
2000 DOMANIK DRIVERACINEWI53404LOW INCOME HOUSINGWILINCOLN LUTHERAN OF RACINERELATED0Yes (1)
LVR DEVELOPER LLC
2000 DOMANIK DRIVERACINEWI53404LOW INCOME HOUSINGWILINCOLN LUTHERAN OF RACINERELATED0Yes (1)8005534610.99990
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LINCOLN LUTHERAN COMMUNITY CARE CORPORATION
Q$111,711ACTUAL
ATRIUM OF RACINE INC
Q$40,310ACTUAL